Lyonsview Health and Rehabilitation Center
5837 Lyons View Pike · Knoxville, TN · 37919 · 8655843902
222 certified beds For profit - Limited Liability company Chain: Champion Care
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (4 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
4 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 3 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
RN staffing in the bottom 10% nationally
0.22 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.57 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.22 | 0.55–0.75 |
| Weekend hours / resident-day | 3.30 | ≈ weekday level |
| Nursing turnover / year | 56% | median 45% |
| Fines (3-yr window) | 1 · $12,038 |
Inspection citations (18 in the current record)
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Immediate jeopardy · J July 24, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 24, 2024 · Quality of Life and Care
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Potential for harm · D July 24, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 12, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · L April 13, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 26, 2023 · Nutrition and Dietary
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Immediate jeopardy · L April 13, 2023
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected May 26, 2023 · Administration
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Immediate jeopardy · L April 13, 2023
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected May 26, 2023 · Administration
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Immediate jeopardy · L April 13, 2023
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected May 26, 2023 · Environmental
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Actual harm · G April 13, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 26, 2023 · Resident Assessment and Care Planning
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Actual harm · G April 13, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 26, 2023 · Quality of Life and Care
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Actual harm · G April 13, 2023
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected May 26, 2023 · Nursing and Physician Services
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Potential for harm · D April 13, 2023
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 26, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 13, 2023
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected May 26, 2023 · Quality of Life and Care
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Potential for harm · D April 13, 2023
Provide activities to meet all resident's needs.
Corrected May 25, 2023 · Quality of Life and Care
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Potential for harm · F April 13, 2023
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Corrected May 26, 2023 · Nursing and Physician Services
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Potential for harm · D June 30, 2021
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 31, 2021 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 21, 2019
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 10, 2019 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 21, 2019
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 10, 2019 · Pharmacy Service
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Potential for harm · F August 21, 2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 10, 2019 · Nutrition and Dietary
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Potential for harm · F August 21, 2019
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected October 10, 2019 · Environmental
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 24, 2024 | Fine | $12,038 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445114 · certified since January 6, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.